Inspection on 16/02/06 for Shalden Grange

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Shalden Grange 20/01/09

Shalden Grange 10/12/07

Shalden Grange 30/05/06

Shalden Grange 04/10/05

Shalden Grange 24/11/04

Shalden Grange 23/06/04

Shalden Grange 22/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Shalden Grange 1-3 Watkin Road Boscombe Bournemouth Dorset BH5 1HP Lead Inspector Debra Jones Unannounced Inspection 16th February 2006 11:20 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shalden Grange Address 1-3 Watkin Road Boscombe Bournemouth Dorset BH5 1HP 01202 301918 NO FAX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Amrik Singh Benepal Mrs Kuldeep Kaur Benepal Mrs Janine May Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to CSCI) in the category LD (Learning Disability) may be accommodated. 4th October 2005 Date of last inspection Brief Description of the Service: Shalden Grange is registered to provide accommodation and personal care for 35 older people with frailty of old age. The home is situated in a residential area of Boscombe within half a mile of the shops and also the seafront. The home is made up of two large older properties with a single floor extension between the two. The ground floor connecting extension provides the communal areas with a reception conservatory, main lounge, dining room, kitchen and second conservatory. There are also three resident’s bedrooms with all other bedrooms provided in the older properties at either end of the home. One of the properties has a shaft lift for accessing the floors above ground level. The other property has no lift or stair lift and so residents accommodated here must be able to use the stairs safely. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2.5 hours on 16 February 2006 and was the second of the two anticipated inspections of the year. The 1 requirement made at a previous inspection had been addressed. The Inspector looked around the communal areas and a number of records and related documentation were inspected. Janine May– the registered manager assisted the Inspector along with a representative of the owners of the home. The Inspector met and chatted with some residents in order to get a feel for what it is like to live at Shalden Grange. Residents were full of praise for the home and said they had no complaints. Prior to the inspection a number of comment cards were sent out by the home on behalf of the Commission. Of those returned 15 were from residents, 2 from Doctors surgeries, 3 from care managers and 13 from relatives / visitors. Most comment cards returned were positive about the staff and service provided at the home. The few less positive comments were fed back to the home. Out of the 15 residents who returned comment cards all said that they felt well cared for, with 13 saying that they liked living at the home. Comments included the following :‘Here is as near perfect as a place like this can be. It is a privilege to live here.’ (a resident) ‘I’d prefer to be at home.’ (a resident) ‘I have lived in this home quite some time by now. I find it very good indeed.’ (a resident) ‘Staff and management seem to be much more caring and take time to get to know the residents’ (a relative) ‘……………the care is superb. We could not ask for any better.’ (a relative) ‘Always made to feel very welcome. Excellent care.’ (assistant care manager) ‘Friendly staff and well managed.’ (a GP) Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? The home has continued to function at the high standard that has been noted at previous inspections. Now after someone from the home has carried out a pre admission assessment the home confirms in writing that the home is able to meet the potential residents’ needs to give them the necessary reassurance that the home is right for them. Application forms for new workers have been updated. The home is now routinely ensuring that they have the full employment history of prospective staff and are seeking references from relevant previous employers e.g. where staff have worked in care posts before. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (standard 6 does not apply to this home.) Prospective residents receive written reassurance that the home will be able to meet their needs. EVIDENCE: At a previous inspection the home was required to confirm in writing to prospective residents that following their pre admission assessment that the home would be able to meet their needs. Evidence was seen to demonstrate that such letters are now issued. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 (Standards 7,8 and 9 were met at the last inspection.) Residents are treated with respect and their privacy and dignity are promoted. EVIDENCE: Residents spoken to said that they felt well cared for,and that their privacy and dignity were respected. ‘I have no complaints.’ Staff were seen to be treating residents in a respectful and dignified way during the course of the inspection. The comment cards returned to the Commission, prior to the inspection, confirmed that all residents felt well cared for and that their privacy is preserved and respected at the home. Residents talked of how staff always knocked on their doors before they came in to see them and addressed them by the name they wished to be known by. Staff are introduced to these important principles of care in their induction and foundation training. The home has a ‘choice, independence, privacy and dignity policy’ that underpins the good practice at the home. The home’s statement of purpose is displayed in the main hallway and further promotes Shalden Grange’s commitment to treating people with respect and upholding their dignity. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 (Standards 12, 13 and 15 were met at the last inspection.) Residents are helped and encouraged to exercise choice in their daily lives at the home. EVIDENCE: Residents confirmed that they were able to do as they wished at the home and that support was there when they needed it. They talked of how in the morning they got their breakfast where and when it suited them and of how there was no rush for them to be ready for the day. Residents said they were able to spend the days where they wished and join in or not with what was going on. They are also able to choose what they want to eat at mealtimes. One resident talked of how she chose to manage her own medication and of how she liked to keep as independent as possible. As stated above (NMS 10) staff are introduced to these important principles of care in their induction and foundation training. The home has a ‘choice, independence, privacy and dignity policy’ that underpins the good practice at the home. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 A system is in place to deal with any complaints that might be made by residents. The home’s adult protection policy, and ongoing staff training programme, demonstrates the homes commitment to understanding abuse and of protecting residents. EVIDENCE: The home has a complaints policy / procedure that is available to residents and their supporters. No complaints have been received by the home since the last inspection or by the Commission. Residents spoken with confirmed that should they have any concerns they knew who to take them up with. Residents said they had ‘nothing to complain about.’ The home has an adult protection policy that is in line with the Department of Health Guidance ‘no secrets’, and there is ongoing staff training in this subject at the home. ‘Manager and staff give good feedback on service user needs and have good understanding on ‘no secrets’. All aspect of home very positive.’ (a care manager on a Commission comment card received prior to the inspection.) Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 (standard 19 was met at the last inspection) The home is kept clean and smells fresh thereby making daily life for all in the home more pleasurable. EVIDENCE: Shalden Grange has a warm and homely atmosphere. The home is well decorated throughout. Lounges / dining areas are well and comfortably furnished. The home was clean and there were no unpleasant odours. Policies, procedures and staff training further evidence the successful outcome of this standard. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 (Standards 27,28 and 29 were met at the last inspection. Well-trained staff ensure that the care needs of residents can be met. EVIDENCE: All staff receive ‘work based’ training from the time they start working at the home. Foundation training follows thorough induction programmes all to the required standard. Records are kept of the ongoing training that staff undertake. These records show that staff have access to a good range of basic training and receive their regular mandatory updates e.g. manual handling and first aid. The way that staff were conducting themselves in the home and working with the residents on the day of inspection demonstrated that the training that they had, had been understood and was being applied in practice. At the last inspection there had been some discussion over updating the application forms for new workers. This has now been done and the home is now routinely ensuring that they have the full employment history of prospective staff and are seeking references from relevant previous employers e.g. where staff have worked in care posts before. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 (standard 33 was met at the last inspection.) Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. EVIDENCE: Janine May manages the home. She has recently successfully completed her Registered Manager’s Award (equivalent to NVQ 4). The home keeps some ‘pocket’ money belonging to residents and a robust system is in place to look after it. Clear records are kept of expenditure and balances along with receipts/invoices. Shalden Grange has a comprehensive health and safety policy. Records are available as to how this policy is put into practice in order to achieve a safe environment. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 16 Staff are appropriately trained in areas such as moving and handling, first aid, food hygiene and infection control. The home seeks to comply with legislation relating to safe working practices and is cooperative with the authorities who monitor them in these respects. To evidence this fire safety was sampled at this visit. • • • • Fire records are kept of internal and external checks of the fire equipment at the home. The home is also regularly inspected by the local fire authority (Dorset Fire and Rescue.) Residents confirmed that they heard the alarms sounding as part of the routine checks. Fire training records for staff showed that all staff had training at three monthly intervals and fire drills take place. In addition staff attend a basic fire safety course every other year. It was suggested that when fire drills take place in future more detail be in the report e.g. names of those participating and the time the drill took to complete. Accident and incident records were looked at. Records were well completed in that they were clear about how staff came across accidents, if they had witnessed them or if the resident had told them what had happened. Few were recorded further evidencing the safe environment provided. The manager confirmed that they keep records of the servicing of equipment and facilities at the home. Data product sheets have been obtained and are available near to where the products are used / stored. Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shalden Grange DS0000003979.V283985.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!